FORM 1023-EZ for JUST FOR KIDS OF SENECA COUNTY

Field Data
EIN 47-3758327
Case Number EO-2015112-000159
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JUST FOR KIDS OF SENECA COUNTY
Organization’s Mailing Address 676 EAST SPAYTH STREET
City TIFFIN
State OH
ZIP 44883
Accounting period End 12
Primary contact name ANNE MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

R LEE MARTIN
PRESIDENT/TRUSTEE
676 EAST SPAYTH STREET
TIFFIN OH 44883

Officer/Director/Trustee Two

ANNE MARTIN
SECRETARY/TRUSTEE
676 EAST SPAYTH STREET
TIFFIN OH 44883

Officer/Director/Trustee Three

GREG CLOUSE
VICE PRESIDENT/TRUSTEE
70 EAST CLINTON TWP ROAD 122
TIFFIN OH 44883

Officer/Director/Trustee Four

JULIE CLOUSE
TRUSTEE
70 EAST CLINTON TWP ROAD 122
TIFFIN OH 44883

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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